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Tooth Extraction

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tooth extraction

TOOTH EXTRACTION: SIMPLE OR PLANNED?

Dental extraction or exodontia is the procedure that is responsible for the complete removal of a tooth and should only be carried out when it is absolutely necessary. Unfortunately, there are cases in which extractions are carried out when the tooth is still a candidate to be saved, but due to a bad diagnosis or lack of professionalism on the part of the dentist, the tooth ends up being extracted. There are two types of extraction: simple and planned, also called surgically.

  •  Simple extractions are performed when the teeth are visible in the mouth or at the gum line and are usually performed by general dentists.
  • Planned extractions are performed when the tooth has not erupted at the gum line or is broken below the gum line. It is also often used when the roots are curved, tangled, or very long.

tooth extraction

THE IMPORTANCE OF PROPER PLANNING OF SURGICAL TOOTH EXTRACTION

Planning a tooth extraction well is indispensable, because thanks to this, we will not only solve the problem of the damaged tooth that needs to be extracted, but we will also ensure that the implants or bridges succeed. As we said before, tooth extraction is the beginning of a new treatment, as the space needs to be replaced.

Before the dental extraction, your dentist will do a diagnostic examination and medical history, he will also ask you to have blood tests (haemoleukogram, thromboplastin time, coagulation time). These are very important because if you have deficiencies in blood cells, platelets, or coagulation times, they will considerably affect the healing and regeneration processes of the implants. Profile x-rays and orthopantomography (panoramic tomographies) are a fundamental part of the preliminary studies, as not only the teeth are observed but also the maxilla and mandible.

What is the procedure for a tooth extraction?

Your tooth extraction will either be simple or surgical, depending on whether your tooth is visibl

e or impacted.

Simple extraction

You will receive a local anesthetic, which numbs the area around your tooth so you’ll feel only pressure, not pain, during the procedure. The dentist then uses an instrument called an elevator to loosen the tooth and forceps to remove it.

Surgical extraction

You will likely receive both local anesthesia and intravenous anesthesia, the latter of which makes you calm and relaxed. You may also receive general anesthesia, depending on any medical condition. With general anesthesia, you will remain unconscious during the procedure.

The general dentist or oral surgeon will cut into your gum with a small incision. They may need to remove bone around your tooth or cut your tooth before it can be extracted.

What is the recovery period from a tooth extraction?

It normally takes a few days to recover after tooth extraction. The following steps help ensure that your recovery goes smoothly.

  • Apply an ice pack to your cheek directly after the procedure to reduce swelling. Use the ice pack for 10 minutes each time.
  • After the dentist places the gauze pad over the affected area, bite down to reduce bleeding and to aid in clot formation. Leave the gauze on for three to four hours, or until the pad is soaked with blood.
  • Take any medications as prescribed, including over-the-counter painkillers.
  • Rest and relax for the first 24 hours. Do not jump immediately into your regular routine the following day.
  • Don’t use a straw for the first 24 hours.
  • Don’t smoke.
  • Don’t rinse for 24 hours after the tooth extraction, and spit only gently.
  • Use pillows to prop your head up when you lie down.
  • Brush and floss your teeth like normal, but avoid the extraction site.
  • The day after the procedure, eat soft foods, such as yogurt, pudding, and applesauce.
  • After 24 hours, add a half-teaspoon of salt to eight ounces of warm water to rinse out your mouth.
  • As you heal over the next few days, you can slowly reintroduce other foods into your diet.

If you are experiencing pain that isn’t going away after several days or signs of an infection —including fever, pain, and pus or drainage from the incision — make an appointment to see your dentist as soon as possible.

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